SB 1382 requires Tennessee's Commerce and Insurance Commissioner to study whether insurers' online processes for step therapy exceptions (where patients must try cheaper treatments first) are easy for patients and doctors to use. The study specifically examines if insurers comply with state law without creating unnecessary barriers for requesting exceptions, particularly for conditions like advanced cancer. The commissioner must report findings and recommendations to lawmakers by December 15, 2025. This bill affects patients and healthcare providers seeking coverage for treatments that require step therapy exceptions, but it does not change coverage rules - only studies current processes.
HB 783 authorizes Tennessee local governments (counties, cities, or metropolitan areas) to regulate sober living homes - residences for adults recovering from substance abuse without formal treatment - to ensure they comply with federal fair housing and disability laws. Key provisions include requiring these homes to be at least 1,000 feet from schools/daycares, allowing local zoning rules, and mandating clinical referrals from licensed healthcare providers before residency. The law directly affects sober living home operators, residents, and local governments implementing these rules. It becomes effective immediately upon the governor’s signature (May 21, 2025), updating Tennessee housing codes to balance local oversight with federal civil rights protections.
SB 450, the "Savannah Grace Copeland Act," increases funding for Tennessee's child advocacy centers, which serve abused and neglected children across all judicial districts. It requires that any future funding increase for the Department of Children's Services' child protective services must include a 75% corresponding increase for child advocacy center contracts. The bill sets new base contract amounts: $127,855.98 for full centers and $85,000 per forensic child interviewer. These changes take effect July 1, 2025, but require separate legislative appropriations to be implemented. The bill addresses decades of stagnant funding, aiming to support centers that served over 32,000 children in 2024 with forensic interviews, medical exams, and mental health services.
SB 654 creates Tennessee's "Caring for Caregivers Act," establishing a pilot program to provide financial grants to family caregivers of individuals with Alzheimer's or dementia. The program offers up to $6,000 annually per caregiver to offset eligible expenses like home modifications, medical equipment, and respite care for family members needing help with two or more daily activities (e.g., bathing, dressing, or mobility). Caregivers must have household income below $37,000 (adjusted annually for inflation) and provide care for a relative living in a private home, not a facility. The bill extends the program's termination date from December 2025 to December 2026, with funding starting at $600,000 for fiscal year 2025-2026.
HB 641, the "Savannah Grace Copeland Act," requires Tennessee to increase funding for child advocacy centers whenever state funding for child protective services grows. Specifically, it mandates that 75% of any increase in child protective services funding must be allocated to child advocacy center contracts starting July 2026. The bill sets specific base funding amounts: $127,855.98 for full centers and $85,000 per forensic interviewer. These centers, which serve over 32,000 children annually with services like forensic interviews and mental health support, directly benefit from this policy change. The law takes effect July 1, 2025, but requires separate annual appropriations to implement the funding adjustments.
HB 1089 requires courts to order mental health evaluations for defendants convicted of specific abuse-related crimes - including domestic assault, child abuse, aggravated child abuse, or cruelty to animals - before sentencing. The law directs Tennessee's Department of Mental Health to create a process where community mental health centers or qualified professionals conduct these evaluations. It directly affects defendants in these cases and the state's mental health evaluation system, adding a pre-sentencing step to assess potential mental health factors. The bill amends Tennessee Code Sections 39-14-202 and related titles to implement this requirement, effective May 21, 2025.
HB 411, known as "Lucca's Law," requires Tennessee's TennCare program to cover medically necessary treatments for children with PANDAS (pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections) and PANS (pediatric acute-onset neuropsychiatric syndrome). It mandates that all TennCare-managed care organizations (MCOs) provide coverage for specific treatments - including antibiotics, behavioral therapy, immunomodulating medicines, plasma exchange, and IVIG therapy - without higher co-pays or delays, and prohibits denial based on prior treatment or diagnosis changes. The law also requires MCOs to use "autoimmune encephalitis" coding for billing until specific PANDAS/PANS codes are established. This directly affects pediatric patients with these conditions and their families, ensuring consistent access to covered care under TennCare.
HB 858 requires Tennessee's insurance commissioner to study how easily patients and doctors can request exceptions to step therapy rules online. The study will assess whether insurers' processes are accessible without unnecessary barriers for those seeking coverage for cancer treatments. The commissioner must submit findings and recommendations by December 2025. This bill affects insurers and healthcare providers who handle step therapy requests but does not change current coverage requirements. It becomes effective January 1, 2026.
HB 979 establishes a new licensure process for anesthesiologist assistants in Tennessee, directly affecting these healthcare professionals and hospitals that employ them. The bill amends Tennessee Code Sections 63-1-160(g) and related provisions in Titles 47, 63, and 68, removing restrictions that previously limited hospitals from employing certain licensed physicians for specific medical services. This change updates hospital staffing rules to align with current healthcare practices. The law became effective on July 1, 2025, following the Governor's signature on May 21, 2025.
SB 231 requires Tennessee health insurance plans to cover speech therapy specifically for stuttering, including both habilitative (helping learn or improve communication skills) and rehabilitative (helping restore lost skills) services. The law prohibits annual visit limits, prior authorization, restrictions based on the cause of stuttering, and excludes utilization review for these services, while mandating coverage for both in-person and telehealth options. This requirement applies to health benefit plans renewing or issuing policies on or after July 1, 2025. The bill directly affects insured individuals seeking speech therapy for stuttering and insurers offering health coverage in Tennessee.
